A nurse is caring for a client who was recently diagnosed with Hyperemesis Gravidarum.
Which of the following medications should the nurse anticipate administering?
400 mg Motrin (ibuprofen) PO.
500 mL of 0.9% Sodium Chloride IV bolus.
4 g Magnesium Sulfate IV over 30 minutes.
50 mg Pyridoxine (vitamin B6) PO.
The Correct Answer is D
Choice A rationale
Ibuprofen is not recommended during pregnancy, especially in the later stages, as it can cause harm to the fetus and affect amniotic fluid levels.
Choice B rationale
While hydration is crucial for managing Hyperemesis Gravidarum, 0.9% Sodium Chloride alone won't address the underlying symptoms like nausea and vomiting effectively.
Choice C rationale
Magnesium Sulfate is typically used to prevent seizures in preeclampsia, not for Hyperemesis Gravidarum.
Choice D rationale
Pyridoxine (vitamin B6) is often recommended for Hyperemesis Gravidarum as it can help reduce nausea and vomiting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
CBC (Complete Blood Count), CMP (Comprehensive Metabolic Panel), Urinalysis, and Clotting studies are crucial tests in this scenario. Headache, edema of the face, and right upper quadrant abdominal pain in a pregnant client at 37 weeks gestation are concerning for preeclampsia or HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelet count). CBC can help detect hemolysis and thrombocytopenia, CMP can evaluate liver function, Urinalysis can check for proteinuria indicative of preeclampsia, and Clotting studies assess coagulation status, which is vital for detecting any disseminated intravascular coagulation (DIC) complications.
Choice B rationale
HgA1C is a test used to monitor long-term glucose control in clients with diabetes. Although it provides valuable information regarding glucose levels over the past 2-3 months, it is not relevant in the immediate assessment of acute symptoms like headache, edema, and abdominal pain in the context of preeclampsia or HELLP syndrome.
Choice C rationale
Abdominal ultrasound can be used to assess fetal well-being and placental function, but it does not directly address the immediate concerns associated with preeclampsia or HELLP syndrome. It can be a supportive diagnostic tool but not the primary assessment in this acute scenario.
Choice D rationale
CBC, Amylase, Lipase, and Bile acids are tests typically used to evaluate for pancreatitis or liver disease. While CBC is relevant, the inclusion of Amylase, Lipase, and Bile acids does not directly correlate with the specific symptoms of headache, edema, and right upper quadrant pain associated with preeclampsia or HELLP syndrome. Thus, this combination is not the most appropriate set of diagnostic tests for the client's condition. .
Correct Answer is ["B","D","E"]
Explanation
Choice A rationale
Oligohydramnios refers to a condition characterized by a deficiency in amniotic fluid. It is not a common risk factor for hyperemesis gravidarum, which is more related to hormonal changes and genetic predisposition.
Choice B rationale
Twin gestations significantly increase the levels of human chorionic gonadotropin (hCG), leading to a higher incidence of hyperemesis gravidarum. Elevated hCG levels correlate directly with the severity of nausea and vomiting in pregnancy.
Choice C rationale
Anemia does not have a direct causal relationship with hyperemesis gravidarum. Hyperemesis may contribute to the development of anemia due to nutritional deficiencies, but it is not a predisposing risk factor.
Choice D rationale
Molar pregnancy, a gestational trophoblastic disease, causes significantly elevated levels of hCG, leading to an increased likelihood of hyperemesis gravidarum. This condition triggers extreme nausea and vomiting due to excessively high hormone levels.
Choice E rationale
A history of hyperemesis in previous pregnancies strongly predicts recurrence in subsequent pregnancies. This suggests a genetic or environmental predisposition to severe nausea and vomiting.
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